Wednesday, February 06, 2008

{} Cutting it {}

I found the subject of circumcision interesting, especially female circumcision. I've never heard of it before I came to Europe. I guess I was oblivious to what happen under my nose.
Turns out, there are also female circumcision (type I or type IV) in Indonesia, albeit it is not as drastic as in Africa, just as the NYTimes reported it several weeks ago.

WHO classification of female genital mutilation

I. Excision of prepuce and part or all of clitoris
II. Excision of prepuce and clitoris together with partial or total excision of labia minora
III. Infibulation and excision of part or all of external genitalia
IV. Pricking, piercing, incision, stretching, scraping or other harming procedures on clitoris and/or labia

If you read Ayaan Hirsi Ali's account, you would have thought that female circumcision is part of Islamic culture. But from what I can gather so far, this practice goes back even before christianity.

I wont go into long discussion on the Islamic teaching, I just know that there are several school of thoughts regarding this matter. The Shi'ite has never practiced this procedure, it is even outlawed by all leading Shi'ite Marjas. However, the Shafi'i school (predominant in East Africa & South East Asia) rules that clitoridectomy is mandatory. If you look at the primary source of Islamic teaching, namely Quran & Hadeeth, one can find nothing on female circumcision in the Quran. However there's one weak hadeeth mentioning of cutting only the prepuce and not the clitoris. Most of the scholars view this hadeeth doesnt require anyone to perform or to undergo a circumcision, while some Pro-FGM view it as to do the procedure but not so far as to threaten health.

In Indonesia, the Ministry of Health has issued a decree forbidding medical personnel to practice female circumcision, but in the practice it is mostly done by traditional circumcisers and birth attendants who has little knowledge of modern medicine. How do they do it? Some do it ritualistic- rubbing tumeric on the genital or prick the clitoris with a needle or scalpel, others do what is known as type I, cutting prepuce and with of without part of clitoris.

I asked several doctors on their experiences on this matter, all of them did it ritualistically. So I wonder why did the MoH issued that decree? I found it safer for the girls to have it done by medical personels than by traditional circumcisers who can go as far as FGM type I. Dont get me wrong, I am against such a thing as FGM, but I agree with Dr. Guarenti of WHO, if we judge this practice harshly, they will be isolated, and if we banned it all together, it will only be done underground. It makes it more difficult to change it. Meanwhile, we need to educate people, men and women that female circumcision has no medical merit what so ever, even can lead into health and probably sexual problems in the future and that practice is better be stop as soon as possible.

3 comments:

Anonymous said...

saya sependapat bahwa hal ini sedapat mungkin diminimalisir.
Menurut saya setidaknya ada 2 cara, pertama pendekatan medis, yakni dengan menetapkan SOP bahwa yg dimaksud khitan wanita adalah dengan melukai seminimal mungkin preputium clitoris, bukan memotong walaupun sedikit (ini jika berada di wilayah yg masih kental dengan khitan wanita) dan memberikan info bahwa secara medis tidak ada manfaatnya seperti halnya khitan pria (aha, saya ga ada referensi dari sudut medis).
kedua melalui pendekatan fiqih bekerjasama dengan pemuka agama setempat agar (kalau bisa) menggunakan nash (dalil) teringan diantara pilihan pendapat para ulama ahli fiqih, misalnya: jika menganut tetap dilakukan, maka bukan potong tapi sedikit melukai, sedangkan jika bisa, hendaknya memilih nash "boleh tidak khitan" atau tidak khitan tidak apa-apa. *eh sama ya :) * ... siiip

triesti said...

Thanks for your inputs. You are right, We need to include the ulama's to fight FGM, especially since Indonesia is predominantly Shafi'i. This is one Fatwa I am waiting for: It's is OK not to have ciscumcision :)

Anonymous said...

Have you ever heard of the word 'hoodectomy' or 'clitoral unhooding'??? It's an elective surgical procedure which remove the hood/prepuce of the clitoris. It's very similar to male circumcision and it is believed to improve sexual pleasure due to the exposed clitoris. Of course, it's also good for hygine.

This 'hoodectomy' procedure is quite popular in the western countries and costs a few thousand dollars ( for such a simple procedure !!!! )

If only we can make this as an SOP for 'female circumcision' then there won't be any problem with it.